Cite

Copy

Tap on and choose 'Add to Home Screen' to create a shortcut app

Tap on and choose 'Install/Install App' to create a shortcut app

Recovery From Surgery for Tumors of the Lateral and Third Ventricles in Children

This page was last updated on January 25th, 2023

Postoperative Orders

  • Standard postcraniotomy care in ICU
  • ICP monitoring: An intraventricular monitoring device combines assessment of intraventricular pressure with CSF draining to treat increased ICP, but caution in interpretation is mandatory. ICP is usually monitored for 48 hours, and the monitor is then removed at the bedside.
  • EVD: The drainage bag is raised 10-12 cm above the foramen of Monro. The resistance to drainage is progressively increased, and the tube is then clamped. If the patient tolerates the clamping the EVD is then removed.
  • Steroids: The initial maintenance dose is usually continued for at least 48 hours and then gradually tapered over a week.
  • Postoperative imaging: Either an MRI or a CT scan is usually obtained on the first or second postoperative day to evaluate the extent of the tumor resection and to check for hemorrhage or obstruction of CSF pathways.
  • Rehabilitation Medicine:  A consultation for physical therapy support is requested when needed.

Postsurgical Morbidity

  • Ventriculitis: Ventriculitis is the most frequent problem.  In addition to the risk of an  infectious ventriculitis, a chemical ventriculitis is quite common due to the operative debris left within the ventricle. Bone flap infection may present as a local inflammatory reaction with suppuration or as a fistula. The standard treatment is removal of the infected bone flap.

Your donations keep us going

The ISPN Guide is free to use, but we rely on donations to fund our ongoing work and to maintain more than a thousand pages of information created to disseminate the most up-to-date knowledge in the field of paediatric neurosurgery.

By making a donation to The ISPN Guide you are also indirectly helping the many thousands of children around the world whose treatment depends on well-informed surgeons.

Please consider making a donation today.

Use the app

The ISPN Guide can be used as a standalone app, both on mobile devices and desktop computers. It’s quick and easy to use.

Fully featured

Free registration grants you full access to The Guide and host of featured designed to help further your own education.

Stay updated

The ISPN Guide continues to expand both in breadth and depth. Join our mailing list to stay up-to-date with our progress.